Male or Other

Mark D. Dewitt

Physical Therapy Assistant in Rockford, OH(View on Map)

Full Name

Mark Daniel Dewitt

NPI Number

1457085508

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/14/2022

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 464
201 BUCKEYE ST

City

Delphos
Rockford

State

OH
OH

Postal Code

45833-0464
45882-9266

Country

US
US

Telephone Number

N/A
(419) 363-2193

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/14/2022

Provider Address